How can we provide quality care for our patients if we do not have a clear picture of their clinical story? That has been a core question of mine for as long as I can remember, even before I heard the term “clinical documentation improvement...Read More »
Q: How should I query for systemic inflammatory response syndrome (SIRS) if SIRS codes to sepsis? I want to correctly query and obtain the proper supporting information in the medical record in the event of an audit. Any discussion on this topic is appreciated.Read More »
Q: Our small hospital has decided at this time that they no longer need the services of a Physician Advisor (PA). He will only be here another sixty days. Can you tell me from your perspective why a hospital should have a PA?Read More »
Starting October 2012, Medicare will begin paying hospitals for quality measures, according to a CMS fact sheet released April 29. The new Hospital Value-Based Purchasing (VBP) program adopts performance measures under two “domains”:
In room 34 of the emergency department (ED) at Healthytown Municipal Hospital, a morbidly obese woman breathes with the aid of a face mask. A CDI specialist walks by and notices how the woman’s abdomen, not just her chest, rises and falls and decides to take a look at what the physician has...Read More »
Editor’s note: The following timeline contains step-by-step guidance for meeting the ICD-10 go-live date of October 1, 2013, collected and approved by the ACDIS advisory board. It includes material from the “AHIMA ICD- 10-CM/PCS Transition: Planning and Preparation Checklist.” It can be...Read More »
ACDIS Associate Editorial Director Linnea Archibald sends out “missed connections” emails with questions from Council members on a regular basis. Anyone with experience related to one of the questions was invited to respond and Archibald connected them with the question-asker. In order to share...Read More »
